Potter, Charles Peter (CPSO#: 25676)

Current Status: Active Member as of 20 Jun 1973

CPSO Registration Class: Restricted as of 30 Mar 2017

Indicates a concern or additional information

Summary

Former Name: No Former Name

Gender: Male

Languages Spoken: English

Education:The University of Western Ontario, 1972

Practice Information

Primary Location of Practice
502 Oxford Street East
London ON  N5Y 3H7
Phone: (519) 645-6000
Fax: (519) 433-5404
Electoral District: 02
View Professional Corporation Information

Professional Corporation Information

Corporation Name: C.P. Potter Medicine Professional Corporation

Certificate of Authorization Status: Issued Date:  Jan 16 2012

Shareholders:
Dr. C. Potter ( CPSO# 25676 )

Business Address:
502 Oxford Street East
London ON  L5Y 3H7
Phone Number: (519) 645-6000

Registration History

Action Issue Date
First certificate of registration issued: Independent Practice Certificate Effective: 20 Jun 1973
Transfer of class of certificate to: Restricted certificate Effective: 30 Mar 2017
Terms and conditions imposed on certificate by member Effective: 30 Mar 2017

Practice Restrictions

Imposed By Effective Date Expiry Date Status  
member Effective: 30 Mar 2017 Active View Details [+]
            As from March 30, 2017, the following is imposed as a term, condition and
            limitation on the certificate of registration held by Dr. Charles Peter Potter,
            in accordance with an undertaking and consent given by Dr. Potter to the
            College of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT
                                          ("Undertaking")
                  
                                                of
                  
                              DR. CHARLES PETER POTTER
                                          ("Dr. Potter")
                  
                                                to
                  
                        COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
                                          (the "College")
                  
                  
                  
                  
            A.    PREAMBLE

            (1)   In this Undertaking:

                  "Code" means the Health Professions Procedural Code, which is Schedule 2
                  to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as
                  amended; 
                  
                  "Discipline Committee" means Discipline Committee of the College;
                  
                  "OHIP" means the Ontario Health Insurance Plan;
                  
                  "Public Register" means the College's register that is available to the
                  public;
                  
                  "QAC" means the Quality Assurance Committee of the College.
                  
            (2)   I, Dr. Potter, certificate of registration number 25676, am a member of
                  the College.

            (3)   I. Dr. Potter, acknowledge that I was selected for a QAC peer assessment.
                  I acknowledge that no peer assessment has been conducted.

            (4)   I, Dr. Potter, acknowledge that I have not practiced family medicine
                  since 2014, and have restricted my practice to part-time addiction
                  medicine since that time.

            B.    UNDERTAKING

            (5)   I, Dr. Potter, undertake to abide by the provisions of this Undertaking,
                  effective immediately.

            (6)   Practice Restrictions

                  (a)   I, Dr. Potter, undertake that, effective immediately, I will
                        restrict my practice to addiction medicine.
                  
            (7)   Monitoring

                  (a)   I, Dr. Potter, undertake to inform the College of each and every
                        location that I practise or have privileges, including, but not
                        limited to, hospital(s), clinic(s) and office(s), in any
                        jurisdiction (collectively my "Practice Location(s)"), within
                        fifteen (15) days of executing this Undertaking.  Going forward, I
                        further undertake to inform the College of any and all new Practice
                        Locations within fifteen (15) days of commencing practice at that
                        location.
                  
                  (b)   I, Dr. Potter, undertake and agree that I will submit to, and not
                        interfere with, unannounced inspections of my Practice Locations
                        and patient charts by a College representative for the purposes of
                        monitoring my compliance with the provisions of this Undertaking.
                  
            C.    ACKNOWLEDGEMENT

            (8)   I, Dr. Potter, acknowledge and undertake that I shall be solely
                  responsible for payment of all fees, costs, charges, expenses, etc.
                  arising from the implementation of any of the provisions of this
                  Undertaking. 

            (9)   I, Dr. Potter, acknowledge and confirm that I have read and understand
                  the provisions of this Undertaking and that I have obtained independent
                  legal counsel in reviewing and executing this Undertaking, or have waived
                  my right to do so.

            (10)  I, Dr. Potter, acknowledge that the College will provide this Undertaking
                  to any Chief of Staff, or a colleague with similar responsibilities, at
                  any Practice Location ("Chief(s) of Staff").

            (11)  I, Dr. Potter, acknowledge that a breach by me of any provision of this
                  Undertaking may constitute an act of professional misconduct and/or
                  incompetence, and may result in any one or more of the following:
                  consideration by the QAC, an investigation by the College, or further
                  action by the College, including a referral of specified allegations to
                  the Discipline Committee.

            (12)  I, Dr. Potter, acknowledge that this Undertaking constitutes terms,
                  conditions, and limitations on my certificate of registration for the
                  purposes of section 23 of the Code. 

            (13)  Public Register

                  (a)   I, Dr. Potter, acknowledge that, during the time period that this
                        Undertaking remains in effect, this Undertaking shall be posted on
                        the Public Register.
                  
                  (b)   I, Dr. Potter, acknowledge that, in addition to this Undertaking
                        being posted in accordance with section (12)(a) above, the
                        following summary shall be posted on the Public Register during the
                        time period that this Undertaking remains in effect:
                  
                              Dr. Potter has restricted his practice to addiction medicine.
                  
            D.    CONSENT

            (14)  I, Dr. Potter, give my irrevocable consent to the College to make
                  appropriate enquiries of OHIP and/or any person who or institution that
                  may have relevant information, in order for the College to monitor my
                  compliance with the provisions of this Undertaking.

            (15)  I, Dr. Potter, acknowledge that I have executed the OHIP consent form,
                  attached hereto as Appendix "A" and that the consent forms part of this
                  Undertaking.

            (16)  I, Dr. Potter, give my irrevocable consent to the College to provide all
                  Chief(s) of Staff with any information arising from the monitoring of my
                  compliance with this Undertaking.

            (17)  I, Dr. Potter, give my irrevocable consent to any Chief of Staff to
                  disclose to the College, and to one another, all information relevant to
                  this Undertaking and/or relevant for the purposes of monitoring my
                  compliance with this Undertaking.

Concerns

Source: Member
Active Date: March 30, 2017
Expiry Date:
Summary:
Summary of the Undertaking given by Dr. Charles Peter Potter to the College of Physicians and Surgeons of Ontario, effective March 30, 2017:

Dr. Potter has restricted his practice to addiction medicine.